“Heart Appearance” Infarction of the Pons: A Case Report
“Heart appearance” on magnetic resonance imaging (MRI) is a unique presentation of bilateral medial medullary infarction. In contrast, “heart appearance” infarction of the pons has rarely been featured in the medical literature. In this paper, we present a case of “heart appearance” infarction of th...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2012/690903 |
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| author | Keisuke Ishizawa Mikiko Ninomiya Yoshihiko Nakazato Toshimasa Yamamoto Nobuo Araki |
| author_facet | Keisuke Ishizawa Mikiko Ninomiya Yoshihiko Nakazato Toshimasa Yamamoto Nobuo Araki |
| author_sort | Keisuke Ishizawa |
| collection | DOAJ |
| description | “Heart appearance” on magnetic resonance imaging (MRI) is a unique presentation of bilateral medial medullary infarction. In contrast, “heart appearance” infarction of the pons has rarely been featured in the medical literature. In this paper, we present a case of “heart appearance” infarction of the pons with its MRI and magnetic resonance angiography (MRA) findings. The patient was an 87-year-old male who manifested with weakness in the four extremities. Later, bulbar palsy and tetraplegia became apparent, and he eventually was trapped in locked-in syndrome. Brain MRI disclosed a “heart appearance” lesion in the pons, which was high on diffusion-weighted image MRI and low on apparent diffusion coefficient map MRI. Brain MRA demonstrated that the basilar artery remained intact. A diagnosis of fresh, bilateral pontine infarction with a “heart appearance” was made. After the treatment he was transferred to another hospital for long-term care. This case suggests that bilateral ischemic involvement of the pons is possible even in the context of an intact basilar artery. |
| format | Article |
| id | doaj-art-602963a84cf04db48d3dbdc3c00b4f59 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-602963a84cf04db48d3dbdc3c00b4f592025-02-03T07:25:42ZengWileyCase Reports in Radiology2090-68622090-68702012-01-01201210.1155/2012/690903690903“Heart Appearance” Infarction of the Pons: A Case ReportKeisuke Ishizawa0Mikiko Ninomiya1Yoshihiko Nakazato2Toshimasa Yamamoto3Nobuo Araki4Department of Neurology, Faculty of Medicine, Saitama Medical University, Morohongo 38, Moroyama, Iruma-gun, Saitama, 350-0495, JapanDepartment of Neurology, Faculty of Medicine, Saitama Medical University, Morohongo 38, Moroyama, Iruma-gun, Saitama, 350-0495, JapanDepartment of Neurology, Faculty of Medicine, Saitama Medical University, Morohongo 38, Moroyama, Iruma-gun, Saitama, 350-0495, JapanDepartment of Neurology, Faculty of Medicine, Saitama Medical University, Morohongo 38, Moroyama, Iruma-gun, Saitama, 350-0495, JapanDepartment of Neurology, Faculty of Medicine, Saitama Medical University, Morohongo 38, Moroyama, Iruma-gun, Saitama, 350-0495, Japan“Heart appearance” on magnetic resonance imaging (MRI) is a unique presentation of bilateral medial medullary infarction. In contrast, “heart appearance” infarction of the pons has rarely been featured in the medical literature. In this paper, we present a case of “heart appearance” infarction of the pons with its MRI and magnetic resonance angiography (MRA) findings. The patient was an 87-year-old male who manifested with weakness in the four extremities. Later, bulbar palsy and tetraplegia became apparent, and he eventually was trapped in locked-in syndrome. Brain MRI disclosed a “heart appearance” lesion in the pons, which was high on diffusion-weighted image MRI and low on apparent diffusion coefficient map MRI. Brain MRA demonstrated that the basilar artery remained intact. A diagnosis of fresh, bilateral pontine infarction with a “heart appearance” was made. After the treatment he was transferred to another hospital for long-term care. This case suggests that bilateral ischemic involvement of the pons is possible even in the context of an intact basilar artery.http://dx.doi.org/10.1155/2012/690903 |
| spellingShingle | Keisuke Ishizawa Mikiko Ninomiya Yoshihiko Nakazato Toshimasa Yamamoto Nobuo Araki “Heart Appearance” Infarction of the Pons: A Case Report Case Reports in Radiology |
| title | “Heart Appearance” Infarction of the Pons: A Case Report |
| title_full | “Heart Appearance” Infarction of the Pons: A Case Report |
| title_fullStr | “Heart Appearance” Infarction of the Pons: A Case Report |
| title_full_unstemmed | “Heart Appearance” Infarction of the Pons: A Case Report |
| title_short | “Heart Appearance” Infarction of the Pons: A Case Report |
| title_sort | heart appearance infarction of the pons a case report |
| url | http://dx.doi.org/10.1155/2012/690903 |
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